New York Presbyterian Hospital – Outpatient Hospital Services

All Outpatient Hospital Services

This section provides data about outpatient hospital services provided by the facility. It includes details such as the 'Service Count,' which indicates how many services were provided, and the 'Beneficiary Count,' showing how many individuals received care. The 'Avg Total Charges' reflects the average charge for the services rendered, while the 'Avg Medicare Allowed' and 'Avg Medicare Payment' show the typical amount reimbursed by Medicare. The 'Outlier Services' represents any services that fall outside the normal cost range, with 'Avg Outlier Amount' showing the typical payment for these services. The 'RUCA Classification' gives information about the facility’s location, indicating whether it is in a metropolitan area or rural area.

APC 5072 RUCA 1

Level 2 Excision/ Biopsy/ Incision and Drainage

525 East 68th Street, New York, NY 10065

Service Count

1,073

Beneficiary Count

1,013

Avg Medicare Allowed

$1,782.29

Avg Medicare Payment

$1,415.84

Avg Total Charges

$15,156.36

Outlier Services

17

Avg Outlier Amount

$5,683.41

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5073 RUCA 1

Level 3 Excision/ Biopsy/ Incision and Drainage

525 East 68th Street, New York, NY 10065

Service Count

462

Beneficiary Count

367

Avg Medicare Allowed

$3,105.30

Avg Medicare Payment

$2,471.29

Avg Total Charges

$14,223.41

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5091 RUCA 1

Level 1 Breast/Lymphatic Surgery and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

319

Beneficiary Count

300

Avg Medicare Allowed

$4,144.15

Avg Medicare Payment

$3,300.65

Avg Total Charges

$24,056.84

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5092 RUCA 1

Level 2 Breast/Lymphatic Surgery and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

222

Beneficiary Count

221

Avg Medicare Allowed

$7,164.26

Avg Medicare Payment

$5,706.71

Avg Total Charges

$30,845.45

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5093 RUCA 1

Level 3 Breast/Lymphatic Surgery and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

14

Beneficiary Count

14

Avg Medicare Allowed

$10,603.81

Avg Medicare Payment

$9,003.81

Avg Total Charges

$36,672.20

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5094 RUCA 1

Level 4 Breast/Lymphatic Surgery and Related Procedures

525 East 68th Street, New York, NY 10065

Service Count

20

Beneficiary Count

19

Avg Medicare Allowed

$20,061.85

Avg Medicare Payment

$18,461.85

Avg Total Charges

$61,819.89

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5112 RUCA 1

Level 2 Musculoskeletal Procedures

525 East 68th Street, New York, NY 10065

Service Count

299

Beneficiary Count

289

Avg Medicare Allowed

$1,724.72

Avg Medicare Payment

$1,369.27

Avg Total Charges

$13,904.66

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5113 RUCA 1

Level 3 Musculoskeletal Procedures

525 East 68th Street, New York, NY 10065

Service Count

256

Beneficiary Count

244

Avg Medicare Allowed

$3,577.08

Avg Medicare Payment

$2,847.20

Avg Total Charges

$24,327.45

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5114 RUCA 1

Level 4 Musculoskeletal Procedures

525 East 68th Street, New York, NY 10065

Service Count

537

Beneficiary Count

523

Avg Medicare Allowed

$7,937.72

Avg Medicare Payment

$6,334.06

Avg Total Charges

$37,732.18

Outlier Services

15

Avg Outlier Amount

$2,948.47

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5115 RUCA 1

Level 5 Musculoskeletal Procedures

525 East 68th Street, New York, NY 10065

Service Count

643

Beneficiary Count

626

Avg Medicare Allowed

$15,634.58

Avg Medicare Payment

$14,032.27

Avg Total Charges

$54,332.50

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5116 RUCA 1

Level 6 Musculoskeletal Procedures

525 East 68th Street, New York, NY 10065

Service Count

21

Beneficiary Count

21

Avg Medicare Allowed

$26,321.39

Avg Medicare Payment

$24,721.39

Avg Total Charges

$88,423.13

Outlier Services

0

Avg Outlier Amount

$0.00

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater

APC 5153 RUCA 1

Level 3 Airway Endoscopy

525 East 68th Street, New York, NY 10065

Service Count

153

Beneficiary Count

145

Avg Medicare Allowed

$1,927.08

Avg Medicare Payment

$1,531.33

Avg Total Charges

$18,414.65

Outlier Services

NA

Avg Outlier Amount

NA

RUCA Classification

Metropolitan area core: primary flow within an urbanized area of 50,000 and greater